• Senior HEDIS Operations

    Humana (Richmond, VA)
    …and Compliance, and Risk Adjustment, as well as vended partners. The Senior HEDIS Operations & Quality Professional supports all aspects of the ... technology implementation, and data management/reporting. The Senior HEDIS Operations & Quality Professional champions a collaborative environment… more
    Humana (12/13/25)
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  • Remote Epic Healthy Planet Senior Analyst

    Insight Global (Virginia Beach, VA)
    …Case Management, Reporting Workbench, SlicerDicer (Preferred) * Familiarity with CMS quality programs, HEDIS measures, and risk adjustment (Preferred). * ... efficient system performance and integration with business and clinical operations . This role involves evaluating software releases, analyzing business...Familiarity with CMS quality programs, HEDIS measures, and risk adjustment.… more
    Insight Global (11/06/25)
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  • Senior Data Scientist

    CVS Health (Richmond, VA)
    …conduct robust impact and descriptive analyses, and collaborate closely with clinical, quality , and operations teams to identify emerging opportunities that ... outputs are interpretable and actionable. + Collaborate cross-functionally with Clinical Operations , Member Experience, and Quality teams to align analytics… more
    CVS Health (12/13/25)
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  • Associate Medical Director

    CenterWell (Hampton, VA)
    …(KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals. + Personally ... combining clinical practice with leadership and operational management to ensure high- quality patient care and alignment with Value-Based Care (VBC) principles. This… more
    CenterWell (10/29/25)
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  • Sr Mgr,MC Clinical SPM R22

    CVS Health (Richmond, VA)
    …clinical quality standards and business and financial objectives. The Senior Practice Manager will have accountability to the business performance of clinics ... with heart, each and every day. **Position Summary** The Senior Practice Manager's role is a full time position...their assigned clinic team. Major Job Duties and Tasks Quality Practice Accountable for clinic team performance in achieving… more
    CVS Health (11/26/25)
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